Akuwona wonke umuntu owazi ukuthi i-insulin ithinta kanjani umzimba. Kepha abantu abaningi bayazi ukuthi le yi-hormone enokuntuleka kwayo okunomthelela ekuthuthukiseni isifo sikashukela. Kodwa-ke, hhayi ukungathandeki nje kuphela, kodwa futhi nokuqhela kwento kuyingozi kubantu.
I-insulin ephezulu ingumphumela wokungasebenzi kahle kumanyikwe, okuholela ekwandeni kokuxineka koshukela egazini nokubonakala kwe-hypoglycemia. Lokhu kuthinta isisindo, futhi sikhula ngokushesha okukhulu. Ungavimbela ukukhula kokukhuluphala bese uthayipha isifo sikashukela 2 ngokwelashwa kwezidakamizwa nokudla okukhethekile.
Ukondliwa okufanele nge-insulin ekhuphukayo kuvamile izinga le-hormone ngisho ngaphandle kokusebenzisa izidakamizwa. Ukwelashwa kokudla kuzosiza ukuvikela ukuvela kwe-hypoglycemia kanye nokwehluleka kwe-carbohydrate metabolism. Kepha ngaphambi kokuba ufunde ngemithetho yokudla, kudingeka uqonde indlela yokuthuthukiswa kwe-hyperinsulinemia.
Kungani insulin inyuka?
I-insulin yi-hormone ekhishwa ngamanyikwe. Umsebenzi wayo ophambili ukuphathwa kwamazinga kashukela ngamaseli omzimba.
Kepha kufanele kukhiqizwe i-insulin engakanani? Umthamo we-hormone unqunywa izindlela ezi-2. Amangqamuzana alawula ukukhiqizwa kwe-insulin aphendula ushukela emfuleni wegazi kanye nesivinini esishintsha ngalo ushukela.
Uma ushukela wegazi uphezulu kakhulu, okwenzeka ngemuva kokudla, amanyikwe kukhiqiza i-insulin. Kube sekuhlola ukuthi izinga leshukela lehla ngokushesha kangakanani.
Izinga lokukhiqizwa kwama-hormone lincike esilinganisweni sokuncipha kwe-glucose yegazi. Ngakho-ke, lapho kancane kancane ushukela udunwa, inani elikhulu le-insulin lizothunyelwa ngamanyikwe.
Ngakho-ke, isici esiziholayo, ngenxa yokuthi izinga le-insulin egazini likhuphuka, ukuthathwa kancane koshukela ngamangqamuzana omzimba, okujwayelekile ngohlobo 2 sikashukela. Ngalesi sifo, i-carbohydrate metabolism iyaphazamiseka:
- Ama-insulin receptors ayeka ukubona i-hormone, yingakho i-insulin ingawenzi ngokuphelele umsebenzi wayo.
- Ngemuva kokudla isifo sikashukela, ushukela omningi emfuleni wegazi wehla kakhulu.
- Ngenxa yokuwohloka kancane kweglucose yegazi, ipancreas iqala ukukhiqiza ingxenye eyengeziwe ye-hormone, futhi ukuqina kwayo kuba phezulu kakhulu.
Kunenye futhi imbangela engathinta ukukhiqizwa okwandisiwe kwe-insulin.
Lezi zinhlobo ezinjenge-tumor ezifana nokwakheka kusuka kumaseli abhekene nokukhiqizwa kwe-hormone. Yize ukwephulwa okunjalo kukhula kuyaqabukela.
Yini ukubaluleka nezinzuzo zokudla?
Nge-prediabetes futhi esigabeni sokuqala sokukhula kwesifo, izimpawu zobuhlungu zivame ukungabikho. Izinkinga eziyingozi zesifo sikashukela (i-retinopathy, i-arthropathy, i-neuropathy) zikhula kancane isikhathi eside ngaphandle kokubangela ukugula okungatheni esigulini.
Uma ukudla kungalandelwa nge-insulin eyengeziwe egazini, umuntu kufanele alungele ukuthuthukiswa kwemiphumela eminingana. "Umphumela wokuqala" ukugeleza kwefomu elizimele le-insulin liye kwelinye elithembele ku-insulin.
Amanyikwe awakwazi ukusebenza njalo ngemodi ethuthukisiwe. Ngenxa yalokhu, ukwehla kweseli kuzokwenzeka, futhi ukugcwala kwe-hormone esegazini kuzokwehla. Lokhu kuzoholela kwisidingo sokuphathwa kwe-insulin impilo yonke, okuzolawula imetabolism yama-carbohydrate.
Abantu abanesifo sikashukela abangafuni ukudla kahle kuzodingeka baphuze izidakamizwa eziningana ngasikhathi sinye, kufaka phakathi i-sulfonylureas, ekhuthaza ukukhululeka kwe-hormone, okwandisa ukuqina kwayo emgudwini wegazi. Izidakamizwa ezinjalo zinxephezela i-carbohydrate metabolism, kepha zisheshisa ukuhamba kwesifo kwifomu elinzima lokuya nge-insulin.
Uma ukudla kungalandelwa, umuntu onesifo sikashukela uzoba nezinkinga sekwedlule isikhathi:
- i-retinal atrophy;
- ukulimala kwezingalo, kuvame ukuphela ngokunqunywa;
- ukwehluleka kwezinso;
- ukunciphisa isikhathi sokuphila;
- imivimbo njalo nokushaya kwenhliziyo okuholela ekufeni.
Ukudla okune-insulin ekhulayo ngeke kuselaphe ngokuphelele isifo sikashukela. Kodwa yisisekelo sokwelashwa kwalesi sifo, ngoba ukondleka okufanele kusiza ukwehlisa ushukela wegazi futhi kwehle nokukhiqizwa kwe-insulin.
Uma udla ukudla okuthile ngesifo sikashukela, unganciphisa isisindo. Ngemuva kwakho konke, ukuphazamiseka ku-carbohydrate metabolism kwenzeka ngokukhuluphala. Umuntu owenqenayo ithuthukisa ngokuzenzakalelayo ukumelana kwe-insulin kwamaseli.
Okunye ukudla kukuvumela ukuthi unciphise ubungozi bokuthola ubunzima besifo sikashukela futhi uthuthukise nesimo somzimba jikelele.
Imikhiqizo evunyelwe futhi evinjelwe
Isifo sikashukela singenza amamenyu abo esonto. Kepha badinga ukwazi ukuthi yimiphi imikhiqizo ye-insulin egazini eyandayo noma enciphayo. Kubalulekile futhi ukuthi uqiniseke ukuthi ukudla okulinganiselayo futhi okuphelele.
Kuyadingeka ukwenqaba ukuthatha inani elikhulu likasawoti. Isimo esivumelekile sifinyelela kumagremu ayi-10 ngosuku.
Ukudla okuvinjelwe ushukela namaswidi aqukethe, ukudla okuthosiwe nokunamafutha. Awukwazi ukudla izithako nokudla, kanye nama-flavour enhancers.
Eminye imikhiqizo ekhulisa i-insulin yegazi:
- I-Confectionery
- utshwala
- izithelo ezimnandi (ubhanana, amagilebhisi, omisiwe);
- uju;
- ukubhaka, namakhekhe, isinkwa esimhlophe;
- iziphuzo emaphaketheni, ushukela omnandi neziphuzo.
Ukuze ungakhuphi i-insulin futhi ungazitholi isisindo ngokweqile, kuyadingeka ukuthi uqinisekise ukuthi okuqukethwe kwekhalori ephezulu yemenyu yansuku zonke yindoda kuze kube ngu-2300 kcal, kwabesifazane - kuze kufike ku-1500 kcal, enganeni - kusuka ku-1200 kuya ku-1950 kcal.
Ukunciphisa i-insulin egazini ekudleni kufaka phakathi ukudla okune-khalori ephansi kanye ne-glycemic index ephansi. Imiphi imikhiqizo ekulesi sigaba?
Lawa amaqanda angabiliswa noma aphekwe kuwo i-omelet eshisayo. Ukudla okunjalo kuvunyelwe ukudliwa izikhathi ezingama-2-3 ngesonto.
Izinhlobo zokudla nezinhlanzi ezingenasikhumba nazo ziyasiza ukwehlisa isisindo. Ukudla izinhlanzi ezinamafutha nakho kuvunyelwe, kepha kuze kube kabili ngesonto.
Okunye ukudla okwehlisa amazinga we-insulin:
- cishe yonke imifino, ngaphandle kwesitashi;
- izithelo ezimuncu;
- okusanhlamvu okuvela okusanhlamvu okuphelele (i-buckwheat, irayisi elinsundu, ukolweni, i-oats);
- imbewu yelanga, ubhontshisi, ukolweni (ihlumela);
- imikhiqizo yobisi enamafutha amancane.
I-insulin ephezulu kanye nokukhuluphala imiqondo ehlobene kakhulu, ngakho-ke eminye imikhiqizo esetshenziswayo ingadliwa, kodwa ngokulinganiselwe. Kungcono ukwenqaba ukudla kwakusihlwa, futhi ngaphambi kokulala uvunyelwe ukuphuza ingilazi ye-kefir.
Ngokwehlukana, kufanelekile ukugqamisa imikhiqizo equkethe i-insulin yemvelo. Lokhu kufaka i-artichoke yaseJerusalema, isikwashi kanye nethanga. Amaqabunga e-Blueberry nawo acebile nge-insulin yemvelo. Ukudla okunjalo kukhulisa kakhulu izinga le-hormone egazini, ngakho-ke kufanele isetshenziswe ngokuqapha nangengxenye ezincane.
Ukwazi uhlu lwemikhiqizo evunyelwe neyenqatshelwe, ungakha ngokuzimela imenyu yosuku. Kucishe kubukeke kanjena:
- Ukudla kwasekuseni kokuqala - ezinye izingcwecwe ezimhlophe, i-oatmeal nobisi ngaphandle koshukela, itiye nge-stevia.
- Isidlo sasemini - ama-apula aluhlaza abhakwe.
- Isidlo sasemini - imifino enamafutha aphansi noma umhluzi wenyama, inkukhu enosiwe noma usikwe inyama yenkomo, ubhekeni, imifino ebhakwe.
- Ukudla okusahlwa - i-200 ml ye-kefir enamakhukhi e-biscuit, ushizi wekhokho omncane onamafutha ngezithelo.
- Ukudla kwakusihlwa - irayisi elinsundu kanye nefilidi yezinhlanzi, imifino, ujusi katamatisi.
Ukuncoma izondlamzimba kanye nendlela yokuphila ye-hyperinsulinemia
Lapho umuntu ekhuphuke i-insulin, uzizwa engasasebenzi, ukubukeka kwakhe kuya ngokuba kubi, futhi inqubo yokuguga yomzimba iyashesha. Enye inkomba esibonakalayo ye-hyperinsulinemia yi-arterial hypertension.
Ukuze uvikele ukuqhubeka kwezimpawu ezingenhla, kuyadingeka ukuthi ufunde imithetho emithathu ebalulekile yokwelashwa kokudla - ungadli isidlo sakusihlwa ngemuva kuka-18 00, udle ukudla okunama-carbohydrate kanye namafutha kuphela ngaphambi kwasemini, futhi kuvunyelwe ukudla okunamafutha amancane kuphela.
Isici esinamandla okwandisa ukuthuthukiswa kwe-hyperinsulinemia yindlala. Phakathi kokudla, ikhefu akufanele libe ngaphezulu kwamahora ama-3. Ngakho-ke, kufanele uphathe njalo ukudla okulula okulula (ama-apula, amakhukhi wokudla).
Akukhona nje kuphela ukudla okuqinisa i-insulin. Futhi kunomthelela ekusetshenzisweni njalo kwekofi, iziphuzo ezidakayo notshwala. Konke lokhu kuyaphatha izinqubo ze-metabolic futhi kukhulisa inkomba ye-glycemic.
Kodwa-ke, i-insulin ephansi ibuye ibe nomphumela ongemuhle emzimbeni, okungaholela ku-hyperglycemia kanye ne-hypoglycemia, izingane ezithambekele ikakhulu kuzo, ngoba zimatasa kakhulu futhi zidla amandla ngokushesha. Ukuvimbela ukukhula kwehla okukhulu ekugxilweni kwe-hormone emzimbeni ngaphambi kokuzivocavoca umzimba, umuntu omdala nengane badinga ukudla ukudla kwe-carbohydrate ngamakhalori alinganiselayo.
Ukuzinzisa amazinga kashukela, kuyanconywa ukuthi ngezikhathi ezithile udle ukudla okune-omega-3 yamafutha. Le yimbewu yethanga, uwoyela wezinhlanzi kanye no-linseed oil.
I-Chromium kungenye ingxenye ebalulekile evimbela ukuthuthukiswa kwe-hyperinsulinemia. Le ntwana yokutholwa itholakala ezithelo, kwasolwandle, imifino kanye namantongomane.
Ngaphezu kokudla, lapho izitho zikhiqiza inani elikhulu le-insulin, odokotela banquma i-Duphaston. Umphumela wesidakamizwa uyafana nomphumela we-progesterone. Lapho uthatha umuthi, isisindo sivele silahlekelwe ngokushesha.
Isiguli esinesifo sikashukela sokumithambo sithatha lesi sidakamizwa sithi sesilahlekelwe ngamakhilogremu amane ngeviki. Okunye ukubuyekezwa mayelana nethuluzi kuhle kakhulu.
Umuthi uvame ukufakwa ekwelapheni okuyinkimbinkimbi. Amathebhulethi adakwa kabili ngosuku ku-10 mg izinyanga ezingama-3-6. Kepha lapho uthatha i-Dufaston, ikhanda, i-anemia, i-edema yengozi kanye neminye imiphumela emibi kungavela, ngakho-ke ukwelashwa kufanele kube ngaphansi kokuqashwa ngudokotela.
Ungayithoba kanjani i-insulini ngokudla ichazwe kuvidiyo kule ngxenye.